JEWEL DANIELLE MONTGOMERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126055

License Status

NOT RENEWED

Business

Title

First Name

JEWEL

Middle

DANIELLE

Last Name

MONTGOMERY

Business Name

JEWEL DANIELLE MONTGOMERY MD

Original Issue Date

06/14/2010

Effective Date

05/29/2014

Expiration Date

07/31/2017

City

TULSA

State

Zip

74104

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

11/01/2017